| NPI | 1669961868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: ID ACU354) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IA A105) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2020-05-01 |